【警觉】甲状腺癌越来越多？丰县地区相对高发，（尤其是女性）咱们该怎么办
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz/wjibCPibWF4ltd5OkArMnRRyu9mYDxTgKCiaXTBDhpeNR7pibfgcd9v3ngicwJwCFADiakP7IGvCO4TQVich7Sz4iaWhog/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">甲状腺癌越来越多？<span style="color: black;">咱们</span>该怎么办</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">近期</span>两年里，甲状腺癌的发病率<span style="color: black;">提升</span>，增幅排名<span style="color: black;">第1</span></span><span style="color: black;">,</span><span style="color: black;"><span style="color: black;">况且</span>甲状腺癌发病<span style="color: black;">青年</span>，其中位发病年龄<span style="color: black;">仅有</span></span><span style="color: black;">30</span><span style="color: black;">多岁。<span style="color: black;">一样</span>，一项来自美国的<span style="color: black;">科研</span><span style="color: black;">报告</span>，</span><span style="color: black;">1975 </span><span style="color: black;">年<span style="color: black;">败兴</span>美国的甲状腺癌的发病率<span style="color: black;">增多</span>了近</span><span style="color: black;">3</span><span style="color: black;">倍，而其中以女性的增长更为<span style="color: black;">显著</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">4</span><span style="color: black;">月</span><span style="color: black;">22</span><span style="color: black;">日下午</span><span style="color: black;">2</span><span style="color: black;">点到</span><span style="color: black;">3</span><span style="color: black;">点《<span style="color: black;">大夫</span>来了》丰县人民医院普外科主治<span style="color: black;">大夫</span>李承良做客直播间，针对甲状腺肿瘤的防治接受听众提问：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz/wjibCPibWF4lsiceO8t3BWAgl6iax7sW49icia8L2MpQPl5hj4JCnUGLia75wlyBXq8eMLyv5vibqJmucicXQpdOlL66reQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz/wjibCPibWF4lsiceO8t3BWAgl6iax7sW49iciaXictzwVlNbIWN9mxrDVehSQKHZa7slKd2rTIdkElJIicS7KOBg3S3XZg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz/wjibCPibWF4lsiceO8t3BWAgl6iax7sW49icia1TuDJqIm5KFsNRu1HicibxQq0SbD7T0dgHFDzdzaXA3GRFNeYMWzoeOw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="http://mmbiz.qpic.cn/mmbiz/wjibCPibWF4lsiceO8t3BWAgl6iax7sW49iciahaAxDQwTe2ic0whelKxMswfMSgiaulVOdIDGz9L2G6Xp0ibafVLxeAdMw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">甲状腺癌<span style="color: black;">为何</span>越来越多？</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“<span style="color: black;">检测</span>频度的<span style="color: black;">增多</span>和<span style="color: black;">检测</span>手段<span style="color: black;">敏锐</span>性的<span style="color: black;">提高</span>，这是甲癌患病率攀升的最<span style="color: black;">重点</span><span style="color: black;">原由</span>。”专家<span style="color: black;">暗示</span>，与其说是患病率<span style="color: black;">上升</span>，不如说检出率<span style="color: black;">加强</span>更为准确。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺在人体颈部前方、气管两侧。以往<span style="color: black;">检测</span>大多采取触诊，受结节在甲状腺内的位置、<span style="color: black;">体积</span>，<span style="color: black;">病人</span>颈部粗短、<span style="color: black;">肥壮</span>以及<span style="color: black;">检测</span>者的经验等<span style="color: black;">原因</span>影响，<span style="color: black;">发掘</span>甲状腺病变的几率并不高。事实上，在上世纪</span><span style="color: black;">80</span><span style="color: black;">年代的常规尸检中，甲癌的比例就已达到</span><span style="color: black;">6%-23%</span><span style="color: black;">，但<span style="color: black;">由于</span>肿瘤和缓，<span style="color: black;">病人</span>至死<span style="color: black;">亦</span>未表现出<span style="color: black;">显著</span>的临床症状。而随着现代甲状腺高频超声技术的<span style="color: black;">显现</span>，直径</span><span style="color: black;">1.5-2</span><span style="color: black;">毫米的微小结节<span style="color: black;">亦</span>能轻而易举被<span style="color: black;">发掘</span>。<span style="color: black;">因此呢</span>，检出甲状腺癌的人数<span style="color: black;">明显</span><span style="color: black;">增多</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> <img src="http://mmbiz.qpic.cn/mmbiz/wjibCPibWF4lsiceO8t3BWAgl6iax7sW49iciaMOr0PZAvkibUY8UJoOu3O9FFuU2QUIRkYGMjPCzmSoeFjhz1MZ7SuYg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span><strong style="color: blue;"><span style="color: black;">预防甲状腺癌，低碘<span style="color: black;">膳食</span>还是高碘<span style="color: black;">膳食</span>好？</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">李医师提醒<span style="color: black;">大众</span>，国内外的<span style="color: black;">科研</span>结果<span style="color: black;">显示</span>，<span style="color: black;">长时间</span>低碘和<span style="color: black;">长时间</span>高碘<span style="color: black;">膳食</span>，甲状腺都是“受害者”，都可诱发甲状腺癌，但甲状腺癌的类型可能有所差别。为了防止摄人碘量过低或过高，<span style="color: black;">能够</span><span style="color: black;">经过</span>尿碘的<span style="color: black;">检测</span>做出判断。正<span style="color: black;">一般人</span>的尿碘含量为</span><span style="color: black;">100-200</span><span style="color: black;">微克</span><span style="color: black;">/</span><span style="color: black;">升，<span style="color: black;">能够</span>此为参考，调节<span style="color: black;">膳食</span>结构，<span style="color: black;">恰当</span><span style="color: black;">掌控</span>碘摄入量。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> <img src="http://mmbiz.qpic.cn/mmbiz/wjibCPibWF4lsiceO8t3BWAgl6iax7sW49iciaS4ibGOjj3S2HEiayViaciaVq87h3tQUf88d01V1GaV6O2vdHqDcdZaEaTQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">体检需不<span style="color: black;">必须</span>做甲状腺筛查？</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">检测</span>手段的进步，使得甲癌的<span style="color: black;">初期</span><span style="color: black;">发掘</span><span style="color: black;">作为</span>可能。但国际权威医学期刊《新英格兰医学杂志》上的一篇论文，却<span style="color: black;">诱发</span>了一场关于“过度诊断”的争论和思考。</span><span style="color: black;">1999</span><span style="color: black;">年，韩国政府<span style="color: black;">起步</span>了一项全国性的防癌体检计划。筛查带来了意外的结果：</span><span style="color: black;">20</span><span style="color: black;">年间，甲状腺癌发病率<span style="color: black;">加强</span>了</span><span style="color: black;">15</span><span style="color: black;">倍，这种<span style="color: black;">本来</span>罕见的癌症一举<span style="color: black;">作为</span>韩国最<span style="color: black;">平常</span>的癌症。然而，甲癌的死亡率却在过去的数十年中始终保持稳定。在<span style="color: black;">无</span>挽救性命的<span style="color: black;">状况</span>下，<span style="color: black;">初期</span>筛查还应该继续进行吗？</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">专家认为，</span><span style="color: black;">30</span><span style="color: black;">岁以后的女性<span style="color: black;">能够</span>做颈部</span><span style="color: black;">B</span><span style="color: black;">超，对<span style="color: black;">发掘</span>甲状腺癌很<span style="color: black;">要紧</span>。<span style="color: black;">然则</span>关于全民推行甲状腺癌筛查，<span style="color: black;">日前</span>是存在争议的。世界卫生组织提出颈部</span><span style="color: black;">B</span><span style="color: black;">超不适于加入全民大规模体检中。他们认为，甲状腺癌是一种温和的癌症，查出时间早晚基本不影响预后，<span style="color: black;">非常多</span>甲状腺癌<span style="color: black;">病人</span><span style="color: black;">能够</span>带瘤<span style="color: black;">存活</span>，和谐共处。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> <img src="http://mmbiz.qpic.cn/mmbiz/wjibCPibWF4lsiceO8t3BWAgl6iax7sW49iciacp2wsha9BRM60S66OrlqrVWDHqBzqzJmXbmvIsZOJpKuWe7r5mRjnQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span><strong style="color: blue;"><span style="color: black;">甲状腺癌其实是“懒癌”？</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">著名的乒乓球女将王楠在</span><span style="color: black;">2005</span><span style="color: black;">年被诊断为甲状腺癌，但甲状腺癌并<span style="color: black;">无</span>严重影响她的人生。王楠<span style="color: black;">保持</span>训练，并勇夺</span><span style="color: black;">2008</span><span style="color: black;">年奥运会冠军。退役后，她还生下了自己的宝宝。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">众所周知，癌症是可怕的<span style="color: black;">疾患</span>，病人<span style="color: black;">非常</span>痛苦。但甲状腺癌却属特例。大部分的甲状腺癌<span style="color: black;">经过</span>手术等治疗，预后都比较好，<span style="color: black;">亦</span>极少<span style="color: black;">必须</span><span style="color: black;">哪些</span>常用的抗肿瘤化疗，<span style="color: black;">能够</span>说是肿瘤中的幸运者。之<span style="color: black;">因此</span><span style="color: black;">这般</span>，是<span style="color: black;">由于</span>甲状腺癌的病理特性<span style="color: black;">导致</span>。甲状腺癌中最为<span style="color: black;">平常</span>的是乳头状癌，占</span><span style="color: black;">80%</span><span style="color: black;"><span style="color: black;">上下</span>，它的预后最好，<span style="color: black;">尤其</span>是女性和年龄小的<span style="color: black;">病人</span>，存活期<span style="color: black;">乃至</span><span style="color: black;">能够</span>和正<span style="color: black;">一般人</span><span style="color: black;">同样</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">专家认为，甲状腺癌并不可怕，<span style="color: black;">初期</span><span style="color: black;">发掘</span>、正确治疗，</span><span style="color: black;">45</span><span style="color: black;">岁之前的甲状腺癌<span style="color: black;">病人</span>大多都能治愈。其中分化良好的甲状腺癌<span style="color: black;">病人</span>，</span><span style="color: black;">95%</span><span style="color: black;"><span style="color: black;">能够</span><span style="color: black;">长时间</span>存活下去。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> <img src="http://mmbiz.qpic.cn/mmbiz/wjibCPibWF4lsiceO8t3BWAgl6iax7sW49iciaIuNLHDcbPOWIaicLpbH7Tvv7Tk5icn1DTgUY2AVhxLNCeDMGic4ibQ6fSw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span><strong style="color: blue;"><span style="color: black;">甲状腺癌应该怎么治？</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">针对</span>恶性肿瘤，<span style="color: black;">咱们</span>都认同“早诊早治”原则。但<span style="color: black;">针对</span>甲状腺癌，尤其是乳头状癌这一预后非常好的恶性肿瘤（<span style="color: black;">按照</span>美国</span><span style="color: black;">SEER</span><span style="color: black;">数据库统计，</span><span style="color: black;">5</span><span style="color: black;">年存活率高达</span><span style="color: black;">97.9%</span><span style="color: black;">），<span style="color: black;">怎样</span>早诊又避免过度治疗呢？甲状腺癌的治疗应该由病理结果说了算。甲状腺是<span style="color: black;">要紧</span>的内分泌器官，手术有<span style="color: black;">很强</span>的<span style="color: black;">危害</span>。故甲状腺癌的手术方式<span style="color: black;">选取</span>，还<span style="color: black;">必须</span>术前结合影像<span style="color: black;">检测</span>、病理结果及病人的基本信息综合判断，<span style="color: black;">选取</span>最佳治疗方式，不要轻易切除，让宝贵的“蝴蝶”轻易飞走。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="http://mmbiz.qpic.cn/mmbiz/wjibCPibWF4lsiceO8t3BWAgl6iax7sW49iciaHZaibkJvQJvhFbyXBJxAOm5dJFQqEM5F73gISSzeFYUpy8lhQQg7Tuw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="http://mmbiz.qpic.cn/mmbiz/wjibCPibWF4lsiceO8t3BWAgl6iax7sW49iciagv0xkBX4pwmCo7hEqVoZicx44oSF02RLuSAVJSiczZICehMrKOaV7ktQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
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